患有慢性非细菌性骨髓炎的儿童的亚临床肠炎
Seher Sener1, Adalet Elcin Yildiz2, Ezgi Deniz Batu1
1Division of Pediatric Rheumatology, Department of Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Türkiye.
Turkish archives of pediatrics
|May 12, 2025
概括
亚临床内膜炎,肌插入的炎症,在慢性非细菌性骨髓炎 (CNO) 中不常见. 超声波检测到它在6%的CNO患者,特别是那些与炎相关的关节炎的重叠特征.
科学领域:
- 儿科风湿病学 儿科风湿病学
- 肌肉骨成像系统的成像
- 炎症性疾病 炎症性疾病
背景情况:
- 在慢性非细菌性骨髓炎 (CNO) 中,肠炎的发生较少,而不是与肠炎相关的关节炎.
- 在CNO患者中,肠炎可能是无症状的,这使得检测具有挑战性.
- 超声波 (美国) 是评估肌肉骨疾病的宝贵工具.
研究的目的:
- 评估诊断为CNO的儿科患者中亚临床肠炎的患病率.
- 使用超声波 (US) 检测无症状肠炎在CNO患者.
- 为了确定潜在的风险因素或与CNO中亚临床肠炎相关的患者子组.
主要方法:
- 纳入了50名被诊断为CNO的儿科患者.
- 一位专业的儿科放射科医生进行了美国的评估.
- 双边评估了七个特定的内关节:共同的延伸器/曲器肌,四头肌,近端/遥远的骨肌,阿基里斯肌和脚.
主要成果:
- 在50名CNO患者中有3名 (6%) 检测到亚临床肠炎.
- 受影响的患者是男性,在诊断时年龄大于6岁,患有双边圣炎,并具有人类白细胞抗原-B27阳性.
- 脑膜炎的部位包括四头骨,足底筋和阿基里斯肌; 一名患者之前有临床脑膜炎病史.
结论:
- 亚临床内膜炎可以发生在CNO中,特别是在具有与内膜炎相关关节炎重叠特征的患者中.
- 美国在鉴定CNO患者的亚临床肠炎方面是有效的.
- 检测亚临床肠炎可能有助于预测疾病爆发和指导治疗调整,正如一个后来经历了爆发的患者所看到的那样.
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